| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
187,600 |
11,813 |
$17.60M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
77,055 |
5,936 |
$5.35M |
| S5170 |
Home delivered meals, including preparation; per meal |
56,203 |
3,690 |
$977K |
| T2003 |
Non-emergency transportation; encounter/trip |
27,206 |
1,739 |
$655K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
21,777 |
1,438 |
$422K |
| A0100 |
Non-emergency transportation; taxi |
23,653 |
1,673 |
$280K |
| S9977 |
Meals, per diem, not otherwise specified |
2,936 |
253 |
$59K |
| A0130 |
Non-emergency transportation: wheelchair van |
287 |
19 |
$0.00 |